Haute prévalence du Burnout dans les unités Tunisiennes prenant en charge des patients en fin de vie

Introduction: Chez le personnel soignant, le burnout touche un infirmier sur trois. Ce taux est plus élevé dans les unités prenant en charge des patients en fin de vie. L?objectif de notre travail était d?évaluer la fréquence du burnout chez les infirmiers qui travaillent en soins de fin de vie.Méthodes: Il s'agit d'une étude descriptive transversale réalisée entre le 1er Avril et le 31 Mai 2010. 60 infirmiers de six services de Sousse et de Monastir (Tunisie) ont été recrutés. L'évaluation du burnout a  été réalisée par deux échelles : MBI (Maslach Burnout Inventory) et BMS (Burnout Measure Short  version). Résultats: La prévalence du burnout était de 70% ; il était élevé chez 81.7%. 80% avaient un niveau  élevé d?épuisement émotionnel, 70% avaient un niveau élevé de dépersonnalisation et 17 % avaient un niveau bas de sentiment d'accomplissement personnel. Le burnout était plus élevé chez les hommes (70,8% vs 69,4% ; p=0,013) ; ceux qui voulaient améliorer les conditions du travail (70.2% vs. 66.7% ; p= 0.017) ; du salaire (70.2% vs. 66.7% ; p= 0.017) et chez les infirmiers suivi en psychiatrie (71.4%  vs. 69.8% ; p= 0.008).Conclusion: Dans notre étude le niveau de burnout était élevé chez les infirmiers prenant en charge des patients en fin de vie. Il était associé au sexe masculin et à l'insatisfaction des conditions de travail et du salaire. D'autres études longitudinales sont nécessaires pour suivre l'évolution de ce syndrome et mettre des stratégies de prévention adéquates.Key words: Burnout, infirmiers, soins de fin de vie, Tunisie

Mental Health during COVID-19 Pandemic: The Role of Optimism and Emotional Regulation

In light of different challenges associated with the COVID-19 pandemic, university students are considered a particularly vulnerable population to mental health and study engagement issues. The first years at university represent a crucial period for students and are associated with an increase in mental health problems, particularly in healthcare studies. This study aimed (1) to document the current levels of mental health and study engagement among healthcare students in Tunisia, and (2) to investigate the relationships between emotional regulation, optimism, study engagement and common mental health problems (stress, anxiety and depression) among this population. A cross-sectional, electronic survey-based research design was used to draw a sample of 366 health care students from a University in Tunisia. Participants mostly reported mild (34.7%) or moderate (44.3%) levels of depression, moderate (44.7%) or severe (33.6%) levels of anxiety, average (50.8%) or mild (33.8%) levels of stress, and high levels of study engagement (>85%). Through structural equation modelling, the results showed that emotional regulation negatively affected stress, anxiety, and depression. Optimism partially mediated the relationship between emotional regulation, anxiety and depression and fully mediated the relationship between emotional regulation and study engagement. The findings indicated a high prevalence of psychological distress among healthcare university students in Tunisia, and specific protective factors that may be targeted to reduce mental health problems

The effectiveness of an online positive psychology intervention among Tunisian university students:A Randomized Controlled Trial

University students are considered as particularly at risk of developing mental health problems due to numerous stressors, which have negative consequences such as sleep disorders, lower academic performance, poor grades, which in turn may lead to study dropout, social isolation, substance abuse, reduced life satisfaction, loss of self-confidence, and suicidal ideations. Therefore, cost-effective interventions are necessary in order to be able to target a large population of students through internet-based interventions. The aim of the current study was to assess the effectiveness of a positive psychology internet-based intervention on mental health and well-being among Tunisian university students in the High school of Sciences and Techniques of Health in Sousse. The study tested the hypothesis according to which the CARE program (8 weeks, 45 minutes per week) would be effective in reducing stress, anxiety, and depression symptoms, and enhancing hope, optimism, emotion regulation, well-being and student engagement compared to a waitlist control group.Methods. A randomized controlled trial was conducted using an online questionnaire among 366 students (mean age 20.74 ±1.64) before and after the program, and one month after the end of the program. Results. Repeated measures ANOVA showed that the CARE program significantly reduced stress, anxiety and depression symptoms, and increased hope, emotion regulation, well-being and academic work engagement. Conclusion. The internet-based CARE program appeared to be effective in reducing psychological distress and enhancing well-being and academic engagement of students during the Covid-19 pandemic

The effectiveness of an online positive psychology intervention among Tunisian university students:A Randomized Controlled Trial

University students are considered as particularly at risk of developing mental health problems due to numerous stressors, which have negative consequences such as sleep disorders, lower academic performance, poor grades, which in turn may lead to study dropout, social isolation, substance abuse, reduced life satisfaction, loss of self-confidence, and suicidal ideations. Therefore, cost-effective interventions are necessary in order to be able to target a large population of students through internet-based interventions. The aim of the current study was to assess the effectiveness of a positive psychology internet-based intervention on mental health and well-being among Tunisian university students in the High school of Sciences and Techniques of Health in Sousse. The study tested the hypothesis according to which the CARE program (8 weeks, 45 minutes per week) would be effective in reducing stress, anxiety, and depression symptoms, and enhancing hope, optimism, emotion regulation, well-being and student engagement compared to a waitlist control group.Methods. A randomized controlled trial was conducted using an online questionnaire among 366 students (mean age 20.74 ±1.64) before and after the program, and one month after the end of the program. Results. Repeated measures ANOVA showed that the CARE program significantly reduced stress, anxiety and depression symptoms, and increased hope, emotion regulation, well-being and academic work engagement. Conclusion. The internet-based CARE program appeared to be effective in reducing psychological distress and enhancing well-being and academic engagement of students during the Covid-19 pandemic.<br/

Effectiveness of an online positive psychology intervention among Tunisian healthcare students on mental health and study engagement during the Covid-19 pandemic

Research indicates that university students present higher levels of psychological distress compared with non-student age-matched youth. These levels are higher among healthcare students, and even higher during the Covid-19 pandemic. Therefore, cost-effective large-scale interventions are needed in order to prevent further development of psychological distress during this period, and more generally. The aim of the current study was to assess the effectiveness of an 8-week Internet-based positive psychology intervention for healthcare students in Tunisia. A two-armed randomized controlled trial was conducted among a sample of 366 health care students (183 in the experimental group and 183 in the control group), with a majority of women (94%). The average age was 20.74 years (±1.64). The participants completed the following online questionnaires at three time-points (before the program, immediately after, and three months later): stress, anxiety, depression, emotional regulation, optimism, hope, study engagement, and well-being. Repeated-measures ANOVAs revealed significant positive effects of the intervention on all the measured variables for the experimental group. The results showed a significant improvement immediately after the intervention compared to the control group, which was maintained three months later. This program may thus be considered as a promising means of improving students’ mental health and study engagement